Medical Appointment Request

We are pleased to offer this service to all *registered patients who wish to book an appointment with their family doctor or nurse practitioner. Please note: The online appointment request should not be completed if you require an urgent appointment, or an appointment within three business days. For these types of appointments, please contact the medical reception at 613-722-2161 to discuss other options. We will reply to all online appointment requests within two (2) business days. If for some reason you do not hear back from us within that time, contact us at 613-722-2161 to request an appointment.
Please enter your contact number here. Please do not include dashes or spaces, only numbers like "6131234567"
*If you wish to book an appointment to renew a prescription for a controlled substance, please call us.
Next available appointment (a minimum delay of 3 business days, for a quicker appointment please call us) For a visit occurring further in the future, please call us.
Online Appointment Request

By clicking on the agree button above, you are agreeing to the following statements:
This process is ONLY to book appointments and cannot be used for medical advice. With your permission, we would use your email address to provide you with an appointment. Carlington does not have encryption data and as such there are risks associated with this form of electronic communication.

Risks:
• The privacy and security of email cannot be guaranteed.
• Email is easier to falsify than handwritten or signed hard copies. It is impossible to verify the true identity of the
sender, or to ensure that only the recipient can read the email once it has been sent.
• Emails can introduce viruses into computer systems.
• Emails can be forwarded, intercepted, circulated, stored and even changed without knowledge or permission.
• An email sender could misaddress an email, resulting in it being sent to an unintended and unknown recipient.
• Email correspondence can be used as evidence in court

In consenting to the use of email with the medical clinic, I declare that the email address I provide is private and accessible only by me. I understand that emails are not checked daily and that if there are any urgent issues that require attention I will call the office for advice or an appointment. Should my email address change, I will update the clinic as soon as possible.

I attest that I have read and understand the information on this form and I consent to the use of email for appointment booking.